Smith, Bryan

Smith, Bryan is an individual health care provider with primary practice located at 914 Mission Ave 3Rd Floor, San Rafael CA 94901-6106. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Smith, Bryan can be contacted via phone (415) 457-6964.

Contact Information

Primary practice address
914 Mission Ave 3Rd Floor San Rafael CA 94901-6106
Phone: (415) 457-6964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1205010857
LBN Legal business name Smith, Bryan
Credentials CADC II
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Mar 10th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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